Provider Demographics
NPI:1689995409
Name:HATCH, LAURA RIDGELY (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:RIDGELY
Last Name:HATCH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:160 HAWLEY LN STE 107
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-5346
Mailing Address - Country:US
Mailing Address - Phone:203-378-3224
Mailing Address - Fax:203-378-2968
Practice Address - Street 1:160 HAWLEY LN STE 107
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611
Practice Address - Country:US
Practice Address - Phone:203-378-3224
Practice Address - Fax:203-378-2968
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA244142207P00000X
CT55850207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine